Spinal Injury Assessment. The most commonly used assessments specific to spinal cord injury include the spinal cord independence measure scim and the walking index for spinal cord injury wisci. Negative mechanism does not need a spine injury clinical assessment b. Assess the mechanism of injury. Assess the person with suspected thoracic or lumbosacral spine.
Commonly assessed activity limitation domains in spinal cord injury include. Computerized tomography ct scan. X rays can reveal vertebral spinal column problems tumors fractures or degenerative changes in the spine. Spinal injury assessment contents national clinical guideline centre 2015 1 spinal injury assessment disclaimer healthcare professionals are expected to take nice clinical guidelines fully into account when exercising their clinical judgement. Medical personnel typically order these tests on people who are suspected of having a spinal cord injury after trauma. They should ask them if they have had any previous problems with their spine.
Computerized tomography ct scan.
On arrival at the scene of the incident use a prioritising sequence to assess people with suspected trauma for example c abcde. This guideline covers the assessment and early management of spinal column and spinal cord injury in pre hospital settings including ambulance services emergency departments and major trauma centres. During the assessment the ambulance team should check if the person has any injuries spinal pain weakness or pins and needles or no feeling at all in their hands or feet and also check how alert they are or whether they seem confused. Follow general pre hospital care protocol. Assess the mechanism of injury. Age 65 years or older and reported pain in the thoracic or.